Individual
DR. JULIAN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3380
Mailing address
307 S FRONT ST, HARRISBURG, PA 17104-1621
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD047667L
PA
207Q00000X
Family Medicine Physician
MD-047667-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000074630
HIGHMARK BS
PA
05
—
0017125410005
—
PA
05
—
0017125410006
—
PA
01
—
141949
UNISON
PA
01
—
1514915
GATEWAY
PA
01
—
20023690
AMERIHEALTH
PA
01
—
30024875
KEYSTONE MERCY
PA
01
—
35109
GEISINGER
PA
01
—
50010096
CAPITAL BCBS
PA
Enumeration date
08/31/2006
Last updated
07/31/2015
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